ANGELA T VANDUSEN
NPI 1790653418
Nurse Practitioner - Pediatrics in Daytona Beach, FL
About Angela T Vandusen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA T VANDUSEN (NPI 1790653418) is an individual pediatrics provider in Daytona Beach, Florida, licensed in Florida (11042915) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela T Vandusen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angela Vandusen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Daytona Beach, FL 32114
- Reassigned Medicare billing, Florida enrollment
- 786 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
DAYTONA BEACH, FL 32114
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Angela Vandusen's NPI number?
The NPI number for Angela Vandusen is 1790653418. It was assigned to this individual provider in the NPPES registry on October 24, 2025.
Where is Angela Vandusen located?
Angela Vandusen practices at 303 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 425-5000.
What is Angela Vandusen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Angela Vandusen enrolled in Medicare?
Yes. Angela Vandusen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angela Vandusen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Vandusen reassigns Medicare benefits to Halifax Healthcare Systems Inc (Daytona Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Vandusen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angela Vandusen was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Angela T Vandusen · NPI 1790653418
Pediatrics physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since October 24, 2025.
## Identity
- **NPI:** 1790653418 (Entity type: Individual)
- **Enumerated:** October 24, 2025
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 11042915 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114-2709
- **Phone:** (386) 425-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Halifax Healthcare Systems Inc (NPI 1245283530, Daytona Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790653418) · Data from the CMS NPPES public registry.